Bottom Line:
Her husband and son were also found to be HIV positive.Her husband left her for another woman.The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

ABSTRACTA 35-year-old married tribal female presented with well-defined crusted ulcers with purulent exudates on the right side of the face involving both lips and right forearm since last 6 months. On investigation, she turned out to be human immunodeficiency virus (HIV) positive with CD4 count of 7 cell/mm(3) and also having probable abdominal tuberculosis (TB) as suggested by ultrasonography abdomen. Her husband and son were also found to be HIV positive. Her skin lesions were suggestive of cutaneous TB. She was started on antituberculosis treatment (ATT), antiretroviral treatment (ART), and injectable antibiotics. As her skin lesions failed to respond after 1 month, herpes simplex virus infection was suspected as a cause of ulceration, and she was given oral acyclovir therapy to which she responded well and later she was discharged. She stopped both ART and ATT and came with recurrence of skin lesions after 1½ month. Her husband left her for another woman. The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

Mentions:
The patient came for follow-up after 1½ months with recurrence of herpetic lesions at the same sites, that is, both lips [Figure 6] and right forearm [Figure 7]. Patient had stopped taking both ART and ATT for the past 1 month. The patient's husband had left home and ran away with another woman. She had brought her son who was apparently healthy. The patient was depressed and had reduced food intake.

Mentions:
The patient came for follow-up after 1½ months with recurrence of herpetic lesions at the same sites, that is, both lips [Figure 6] and right forearm [Figure 7]. Patient had stopped taking both ART and ATT for the past 1 month. The patient's husband had left home and ran away with another woman. She had brought her son who was apparently healthy. The patient was depressed and had reduced food intake.

Bottom Line:
Her husband and son were also found to be HIV positive.Her husband left her for another woman.The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.

ABSTRACTA 35-year-old married tribal female presented with well-defined crusted ulcers with purulent exudates on the right side of the face involving both lips and right forearm since last 6 months. On investigation, she turned out to be human immunodeficiency virus (HIV) positive with CD4 count of 7 cell/mm(3) and also having probable abdominal tuberculosis (TB) as suggested by ultrasonography abdomen. Her husband and son were also found to be HIV positive. Her skin lesions were suggestive of cutaneous TB. She was started on antituberculosis treatment (ATT), antiretroviral treatment (ART), and injectable antibiotics. As her skin lesions failed to respond after 1 month, herpes simplex virus infection was suspected as a cause of ulceration, and she was given oral acyclovir therapy to which she responded well and later she was discharged. She stopped both ART and ATT and came with recurrence of skin lesions after 1½ month. Her husband left her for another woman. The purpose of reporting this case is to discuss the issues related to HIV infection affecting all the members of a tribal family.